Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Pulham, NP

Individual provider Nurse Practitioner · NPI 1437811585

Ryan Pulham, NP is a Nurse Practitioner in Provo, Utah. Qualified in 2021, 5 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1055 N 500 W Bldg A
Provo, UT 84604-3305
Phone: (801) 812-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7895301-4405 (UT)

Record details

NPI number1437811585
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address1055 N 500 W Bldg A, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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